A nurse is caring for a toddler who is 24 hr postoperative following a cleft palate repair.
Which of the following actions should the nurse take?

Apply bilateral wrist restraints.

Implement a soft diet.

Administer opioids for pain.

Offer fluids through a straw.

Answer and Explanation

The Correct Answer is C

A. Applying bilateral wrist restraints is not a standard intervention after cleft palate repair.

Restraints should be used judiciously and with clear indications to prevent injury.

B. The baby can start feeding normal diet after 24hrs

C. Administering opioids for pain is an appropriate action by the nurse. Opioids control pain in the immediate postoperative period are followed by administration of acetaminophen PRN.

D. Offering fluids through a straw is contraindicated after cleft palate repair, as it can disrupt the healing process and increase the risk of complications. Sippy cups or other appropriate utensils should be used.

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Correct Answer is C

Explanation

A. It is not possible to stop a seizure once it has started. The focus should be on ensuring the safety of the child during the seizure.

B. Restraint is not recommended during a seizure, as it can lead to injury and increased agitation.

C. Positioning the child laterally helps prevent aspiration and allows for drainage of oral secretions during a seizure.

D. Using a padded tongue blade is not necessary during a seizure and can pose a risk of injury. It is essential to protect the child's airway without inserting any objects into the mouth.

A. "Stay with your child until the child is asleep." B. "Let your child sleep in your bed with you." C. "Keep a night light on in your child's room." D. "Tell your child that monsters are not real."

Correct Answer is C

Explanation

A. Staying with the child until asleep may temporarily address the fear but may not help the child develop coping skills for the future.

B. Allowing the child to sleep in the parent's bed may provide comfort but may not address the fear of monsters in the long term.

C. Keeping a night light on in the child's room can provide a sense of security and help alleviate fear by making the environment less intimidating.

D. Telling the child that monsters are not real may not be effective at this age, as young children often have difficulty distinguishing between fantasy and reality. Offering reassurance and
practical solutions like a night light may be more helpful.

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A nurse is caring for a toddler who is 24 hr postoperative following a cleft palate repair. Which of the following actions should the nurse take?

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A nurse is caring for a toddler who is 24 hr postoperative following a cleft palate repair.
Which of the following actions should the nurse take?